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目的探讨超声在诊断腹膜继发性肿瘤疾病中的临床应用价值。方法 12例腹膜继发性肿瘤疾病患者,总结腹膜继发性肿瘤疾病超声图像的特点,并复习相关文献。结果腹膜假性黏液瘤患者超声表现为腹腔内可见黏液腹腔积液,深度11.3~12.2 cm,肠管受压,腹膜增厚,厚度3.0~3.5 cm,积液内呈蜂窝状改变,可见多个网状、光带状分隔,并可见成堆分布的点状高回声随体位改变而缓慢移动。卵巢癌、胃癌、肝癌和结肠癌腹膜转移患者的超声表现为:腹腔内可见大量腹水,腹水深度7.1~12.0 cm,于腹水中可见大网膜僵硬、明显增厚,厚度3.6~6.7 cm,呈“网膜饼”状,并于盆腔及腹腔内可见卵巢、胃、肝、结肠的原发肿瘤病灶。结论超声技术可以清晰的显示腹膜继发性肿瘤疾病的特征性声像图特点,具有方便捷、快捷、准确性较高的优点,有益于临床诊断该类疾病。
Objective To investigate the clinical value of ultrasound in the diagnosis of peritoneal secondary tumor diseases. Methods Twelve patients with peritoneal secondary tumor diseases were reviewed. The characteristics of ultrasound images of peritoneal secondary tumor diseases were summarized and related literatures were reviewed. Results Peritoneal pseudo-myxoma showed intraperitoneal mucosal effusion with a depth of 11.3-12.2 cm. The bowel was compressed and the peritoneum was thickened with a thickness of 3.0-3.5 cm. Like, light ribbon-like separation, and can be seen piles distributed punctate hyperechoic with the body position change and slowly move. Ovarian cancer, gastric cancer, liver cancer and colon cancer peritoneal metastasis in patients with ultrasound showed: a large number of ascites were seen in the peritoneal cavity, ascites depth of 7.1 ~ 12.0 cm, as seen in the ascites omentum stiff, significantly thicker, thickness 3.6 ~ 6.7 cm, was “Retina cake ” shape, and in the pelvic and abdominal cavity visible ovarian, stomach, liver, colon of the primary tumor lesions. Conclusion Ultrasonography can clearly display the characteristic features of peritoneal secondary tumor diseases, which has the advantages of convenience, quickness and high accuracy, which is beneficial to the clinical diagnosis of such diseases.